Organization
CUMBERLAND RIVER HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA LYNNE STRONG (CAO)
(931) 243-3581
Entity
Organization
Contact information
Practice address
100 OLD JEFFERSON ST, CELINA, TN 38551-4040
(931) 243-3581
(931) 243-5219
Mailing address
100 OLD JEFFERSON ST, PO BOX 427, CELINA, TN 38551-4040
(931) 243-3581
(931) 243-5219
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
15
TN
207P00000X
Emergency Medicine Physician
—
—
282N00000X
General Acute Care Hospital
15
TN
282NC0060X
Critical Access Hospital
Primary
15
TN
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440141
—
TN
01
—
0713454
CIGNA
—
01
—
1000134
BCBS
TN
05
—
1000134
—
TN
05
—
1509296
—
TN
01
—
199752800
DEPARTMENT OF LABOR
—
05
—
200856370A
—
IN
01
—
4139416
NEW BCBS #
TN
05
—
4139416
—
TN
01
—
4141050
BCBS GROUP #
TN
05
—
4141267
—
TN
05
—
5534
—
TN
05
—
7100019900
—
KY
05
—
A3855100
—
TN
05
—
K65939910
—
KY
Enumeration date
11/21/2006
Last updated
12/27/2017
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